Many studies have suggested a role for the hepatocyte growth factor (HGF)/c-Met pathway in tumorigenesis. Some actions of HGF are believed to be mediated by cyclooxygenase-2 (COX-2), resulting in the production of prostaglandin E2 (PGE 2 ). We examined four c-Met-positive non-small-cell lung cancer (NSCLC) cell lines for effects of HGF on COX-2. HGF increased COX-2 protein expression 3-fold over basal levels. Induction of COX-2 occurred through both the extracellular signal-regulated kinase 1/2 and p38 pathways. HGF treatment caused activation of the activator protein-1, CCAAT/enhancer-binding protein, and cAMP response element-binding protein transcription factors, and COX-2 induction was blocked by actinomycin D. The half-life of COX-2 mRNA was also increased by HGF. HGF stimulation resulted in a 4-fold increase in PGE 2 secretion, and treatment of NSCLC cells with exogenous PGE 2 significantly increased cell proliferation. The addition of PGE 2 to NSCLC cells also led to rapid phosphorylation of c-Met in the absence of HGF, which was blocked by epidermal growth factor receptor (EGFR) inhibition. EGFR ligands were released in response to PGE 2 . This suggests that secretion of PGE 2 induced by HGF/c-Met pathway activation can further activate the c-Met pathway via EGFR in a reinforcing loop that is independent of HGF. HGF and PGE 2 each significantly stimulated invasion in NSCLC cells. Cells transiently transfected with c-Met antisense plasmid showed a significant decrease in HGF-or PGE 2 -induced invasion. PGE 2 -induced invasion was EGFR-dependent, confirming a link between PGE 2 , EGFR, and c-Met. Targeting of both the HGF/c-Met and PGE 2 pathways with a neutralizing antibody to HGF and celecoxib resulted in enhanced antiinvasion effects in response to HGF.Lung cancer is the number one cause of death from cancer in men and women in the United States and worldwide is also a major cause of cancer deaths. The 5-year survival rate for lung cancer has shown little improvement over the past 20 years. New therapies that target specific lung cancerrelated growth pathways are needed to make an impact on the course of this disease, which is still often diagnosed at late stages that do not respond well to current therapies. The recent experience with the inhibitor of EGFR, gefitinib, which showed limited therapeutic efficacy (Twombly, 2005), suggests that the success of targeted therapies in clinical use may require different approaches, such as use in selected sensitive patients, combination therapy against several targets, or use of drugs intermittently at high doses to induce apoptosis rather than continuously at low doses to impair cell division.Growth factors and their receptors are attractive targets for therapy because these signaling pathways control cell division and cell survival, two processes that are in imbalance in malignant cells. The literature has repeatedly demonstrated that many growth factor and oncogene signaling pathways overlap and interact with each other. This suggests that not only is...